An Indian Knowledge Systems Conference

	Expo Details

	Expo Form

Expo Form

EXPO RESERVATION

Yes, I would like to exhibit at the Expo. I have read, understood and agree to the Expo details.

Type	Booth	Until Aug 15, 2007		Aug 16, 2007– Jan 15, 2008		From Jan 16, 2008
Type	Booth	INR	US $	INR	US $	INR	US $
B0	Single	20,000	750	25,000	950	30,000	1,125
B2	Two booths	38,000	1,425	47,500	1,805	57,000	2,140
B3	Three booths	52,000	1,950	65,000	2470	78,000	2,925
B4	Four booths	62,000	2,325	77,500	2,945	93,000	3,500
C0	Single, Corner	22,000	825	27,500	1,045	33,000	1,240
C1	Corner and another	40,000	1,500	50,000	1,900	60,000	2,255
C2	Corner and two booths	54,000	2,025	67,500	2,565	81,000	3,040
C3	Corner and three booths	64,000	2,400	80,000	3,040	96,000	3,605

Please make the following reservations :

Booth Type

corner and

normal booths for the sum of: INR/US$

DD or Money Order: Payable to “Punarnava Ayurveda Conference” at Coimbatore, and send to

Punarnava Ayurveda, A-21, Parsn Galaxy, Nanjundapuram Road, Coimbatore 641036, India .

Bank Transfer:Please contact conference@punarnava.com for Bank Account details

Credit Card: : VISA, MASTERCARD, AMEX through www.ayurvedaconference.com. (Online processing fees extra)

Business Details

Name		:
Address		:
City		:
State		:
Code		:
Country		:
Phone		:
Fax		:
E-mail		:

Contact Details

Name

Phone (O)

Phone (R)

Phone (M):

Fax:

E-mail

Primary type of business

Manufacturer, ingestibles

Education

Retail Trade

Manufacturer, others

Government

Other

Consultancy

Information

Brief description of nature of business:

declare that the information reported on this form and all attachments is true and correct .

Name

Date